不同频率振动训练对亚急性期脑卒中患者肢体功能及远期生存状态的影响

Effect of different frequency vibration training on limb function of patients with subacute stroke

目的探讨不同频率振动训练对亚急性期脑卒中患者肢体功能的影响。方法选取2017-07—2020-03海口市人民医院收治的亚急性期脑卒中患者100例,按随机数字表法分为A组(高频,25例)、B组(中频,25例)、C组(低频,25例)和对照组(25例)。对比4组NIHSS、SQLS、FMA和MAS评分和P-ROM和A-ROM及骨密度。结果干预前,4组NIHSS、SQLS、FMA和MAS评分和P-ROM和A-ROM及骨密度比较,无明显差异(P>0.05)。干预后1个月和2个月,A组FMA评分、P-ROM和A-ROM均显著高于B、C和对照组,且B组显著高于C和对照组;A组MAS评分显著低于B、C组和对照组,B组显著低于C和对照组(P<0.05)。干预2个月后,A组骨密度显著高于B、C组和对照组,且B组显著高于C组和对照组;NIHSS评分显著低于B、C组和对照组,且B组显著低于C组和对照组(P<0.05)。干预1、2、6个月后,A组SQLS评分显著低于B、C组和对照组,且B组显著低于C组和对照组(P<0.05)。结论亚急性期脑卒中患者振动训练,可促进其肢体功能恢复,有利于近期精神功能和远期生活质量的提升,其中高频振动训练效果更佳。

Objective To explore the effect of different frequency vibration training on the limb function of patients with subacute stroke.Methods One hundred patients with subacute stroke admitted in our hospital from July 2017to March 2020 were selected and divided into group A(high frequency,25 cases)and group B(intermediate frequency,25 cases)according to the random number table method,group C(low frequency,25 cases)and control group(25 cases).NIHSS,SQLS,FMA and MAS scores and P-ROM and A-ROM and bone density of the four groups were compared.Results Before intervention,there was no significant difference in NIHSS,SQLS,FMA and MAS scores,P-ROM,A-ROM and bone mineral density among the four groups(P>0.05).One month and 2 months after the intervention,the FMA score,P-ROM and A-ROM of group A were significantly higher than those of B,C and control group,and group B was significantly higher than group C and control group,while the MAS score of group A was significantly higher than that of group A.All were significantly lower than B,C and control group,and B group was significantly lower than C and control group(P<0.05).After 2 months of intervention,the bone mineral density of group A was significantly higher than that of group B,C and control group,and group B was significantly higher than that of group C and control group,while the NIHSS score was significantly lower than that of group B,C and control group,and group B significantly Lower than C and control group(P<0.05).After 1 month,2 months and 6 months of intervention,the SQLS score of group A was significantly lower than that of group B,C and control group,and group B was significantly lower than that of group C and control group(P<0.05).Conclusion Vibration training in subacute stroke patients can promote the recovery of their limb functions,and is conducive to the improvement of short-term mental function and long-term quality of life.